The URL can be used to link to this page

Home My WebLink AboutBLDE-22-000107 Commonwealth of official Use only . , Massachusetts Permit No. BLDE-22-000107 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:7/8/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 481 BUCK ISLAND RD Owner or Tenant BUCK ISLAND VILLAGE CONDOS Telephone No. Owner's Address C/O BOARD OF TRUSTEES,481 BUCK ISLAND RD,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement meter stack for building# 1. Completion of the following table may he waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* _ No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE 0 BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: JOHN H BREWER Licensee: John H Brewer Signature LIC.NO.: 14092 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:205 CEDAR ST,W BARNSTABLE MA 026681324 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But signature below,I hereby waive this requirement. I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $80.00 . \ Official Use Only _ Commonwealth of it assachuse(�s Permit No. � C o 7 >; Depatiment of Fire SEIVIc�S Occupancy and Fee Checked _Tr_ - • LKev. i!U 1 J lease blank) - y BOARD OF FIRE PREVEi�9TION RCGULA T IONS 1 FOR t7'l. TO P IN F L CT MCAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),"27 CMR 12.00 (PLEASE PRLNT JV]Nli OR TYPE ALL INFORMATION) Date: 7 - j Cy y or Town of: L i`-( To the In pect of Wires: By this application the undersigned&iVes notice of his or her intention to perform the electrical work described be1o .Location (Street&Number)_ if-Pl L) C l� - �?'� � i1r: J./6: `d / / Owner or Tenant . �L' C / - / tl %L/�= r>% L , Telephone No. J Owner's Address ;—� -Is this permit in coniune ion with a building permit? Yes I._l No (Check Appropriate Boy:) Purpose of Building c V2 J Utility Authorization No. Existing Service iD I Volts Overhead 0 Undgrd 0 No.of Meters 0 New Service Amps / Volts Overhead Undgrd U No. of Meters Number of Feeders and Ampacity ri<---- /Location and Nature of Proposed sEIect �, p=,,? � C � 47C/�' --��C, �i/'� / (1Ul Completion of the following table May be waived by the Inspector of Wires. i to.of Total i4lo.of Recessed Luminaires 1No.of CeiL-Susp.(Paddle)Fans 1 y r ausformers K'fA aaIo.of Lumiriaire Outlets No.of Hot Tubs Generators <C JA wove in- 0 No.or nanergency lignzing No.of Luminaires `Swimming Pool grad. n grnd. Battery Units 1No.of Oil Burners IRE ALARP/=S )No.of Zones j 1'v'o.of r eceptaele Outlets No.of Detection end (No.of Switches `No.of Gas 3urnerS Initiating Devices Total `` 1No.of Air Cond. Tons No.of Alerting Devices No.of Ranges 1» -- lttYM ._.'No.aCSclr-:^alotned II !Heat Pump �uo:Pcr Tans If 6 y. l Totalsetectiou(A_ieia Devices No. of Waste Disposers mu mat Space/Area Heating KW Local Connection Other i o.of Dishwashersye s _t-r4J Security Systems:* • No.of Dryers ;Renting` pal`nnL`s ,o.of Devices or Equivalent -(W `'�n }pa.of No.of Data Wiring: [ti o.of Water Hen I Sips Ballasts No.o.of Devices or Equivalent I eaters Telecommunications Wiring: No. HydfoifiassaaPBathtubs Total of Motors H No.of Devices or s.gnivaient. } OTHER: Attach additional detail if desired or as required by the inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Star Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CEIECK ONE:INSURANCE 1,i- BOND CI OTHER El (Specify:) I cert!fy,under the pains and penalties of nerjLiy,t iat the infornzatforWzis applicatio�Is titre aiza coi plete. �l•?ff,=f� .(J ,�ilia O 1' f L?C.NO.:�23 949 IRi'l NAME:John Brower Electric :;,j r—��,1 `= t f LTC.NO.:A i=1a42 n �'- G Signatur :4%�"t, ;r---� Licensee: �,-�� ,. �� — Bus.Tel.No.: (Ifapplicable, enter "exernot"in the license number line.) _:j-' r / ,i J�;�r Alt.Tel-I�l 508-367-0167 Address: 73:NELL/PA Ci✓ 1 .='✓`/i'I. !:,- !.-.) 1)jk Jf'� 7-� }Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S I - , NICE,WAIVER:I am aware that the Licensee does not hove the liability insurance coverage normally required by 1gw.By riay si e below,I hereby waive this requirement.I am the(check one) E�ner 0 owner's agent. Owner/Ageht / , Z •�� LX� En : Signature �� 'ti-�� Telephone 11dv G/ • tlf 'S: t; ' .. __ .. 'at.is J3• x r, �. YY M1 .ny n j } t y ..,...._........-.�,. - .a. - p��7f4- ... .. .-.. ....-mob _ -, .:q } J _ • r.�AE4 i.- - :..1'. ,• tJf , .. ._ter..._.. ., ;b47,4. '.re ;if .tl • .}>>.'(M.#� �'; .. 4 fit, .. w � t i S ,.. A �1�ri`:t�i s•'s x 1 - x� �'r •-• .,. .A .... s ., 1 6 ele bra C4`